Bisbocci D, Gambino M, Modina P, Livorno P, Ossola M, Marinone C, Pellerito R, Cottino F
Dipartimento di Medicina ed Oncologia sperimentale, Sezione di Medicina interna, Ospedale San Vito, Torino.
Recenti Prog Med. 1991 May;82(5):272-4.
A 40-year-old woman was admitted because of long-lasting asymptomatic hypercalcaemia. About 2 years earlier she underwent thyroidectomy and further 131 I therapy because of well-differentiated non medullary thyroid carcinoma. On admission biochemical data and hormonal values (serum calcium, serum phosphorus, i-PTH) were consistent with primary hyperparathyroidism; ultrasonography, computed tomography, thallium-technetium scintiscanning disclosed right paratracheal mass; on surgical procedure a right parathyroid adenoma was removed. The coexistence of non medullary thyroid carcinoma and primary hyperparathyroidism is rare: the prior 131 I therapy might be linked to subsequent development of parathyroid adenoma.
一名40岁女性因长期无症状性高钙血症入院。约2年前，她因分化良好的非髓样甲状腺癌接受了甲状腺切除术及进一步的碘-131治疗。入院时生化数据和激素值（血清钙、血清磷、i-PTH）符合原发性甲状旁腺功能亢进；超声、计算机断层扫描、铊-锝闪烁扫描显示气管旁右侧肿块；手术中切除了右侧甲状旁腺腺瘤。非髓样甲状腺癌与原发性甲状旁腺功能亢进并存的情况罕见：先前的碘-131治疗可能与随后甲状旁腺腺瘤的发生有关。
